Re: Chris Hull: another question?!

[Guest guest]

K.C., thank you for asking his/her gender!!

I've always wondered because I don't know which

pronoun to use. I've seen post about a wife but

I know a few gay women who have wives too!

It's kinda like Saturday Night Live when they used to

have the " It's Pat " skits.

dee

--- KC Begley wrote:

>

P.S. I am female ( my name could be male or female)

My husband and I talk about you and your letters quite

often....we were just wondering if you are male or female?

__________________________________________________

[Guest guest]

KC,

Dr. Anthone used equal length bilopancreatic and alimentary limbs. I

find this 50/50 split to be intuitively nice, plus the resutls as far

as side effects seem to be better than the more common 60/40 split

used by Hess and Rabkin. I don't really believe in the fixed limb

length method used by Scopinaro, Gagner, Ren, Marceau etc.

Incidentally, all fully lap surgeries use fixed lengths since proper

measurement of the full bowel length is not possible (Rabkin uses lap

assisted and is able to measure). Anthone uses common channel

lengths in the 75-100cm range depending on bowel length of the

patient and the amount of weight the patient has to loose. I think

that this is sensible. Scopinaro used 50cm, Marceau uses 100cm. I

tend to belive that it is better to err on the long side here since

the side effects can be quite awful.

Hull

p.s.: I am male

>

> Thanks for taking the time to be there for so many of us who

have

> questions. I also want to thank you for the fabulous and very

informative

> letter that you shared with the group (the one that you sent to

Aetna).

> You obviously put a great deal of work into that letter. Thank you

for

> offering it to the rest of the group. If anyone deserves the

surgery, I

> think it definitely should be you!

> I have a question that I though you might be willing to

answer. When

> you have your DS surgery, how long do you plan to have your common

limb?

> What are your thoughts on the length of the common limb?

>

> K.C. Begley

>

> P.S. I am female ( my name could be male or female) My husband and

I talk

> about you and your letters quite often....we were just wondering if

you are

> male or female?

[Guest guest]

I find this 50/50 split to be intuitively nice, plus the resutls as far

> as side effects seem to be better than the more common 60/40 split

> used by Hess and Rabkin.

Maybe I just didn't read closely enough but I don't remember reading

anything about the differences between the splits. Where can I find

that info?

Thanks

[Guest guest]

,

You will find that info on each of their respective web sites:

http://www.surgery.usc.edu/foregut/bariatric/

duodeno-ileostomy anastomosis: the length of the ileum is

approximately 50% of the total small bowel length.

http://www.pacificsurgery.com/For_Physicans/Our_Procedure/our_procedur

e.html

(see picture)

Hull

Hull

> I find this 50/50 split to be intuitively nice, plus the resutls

as far

> > as side effects seem to be better than the more common 60/40

split

> > used by Hess and Rabkin.

>

> Maybe I just didn't read closely enough but I don't remember reading

> anything about the differences between the splits. Where can I find

> that info?

>

> Thanks

>

[Guest guest]

Do you happen to know which strategy Dr. K goes with? I'm guessing that he

uses the 60/40 that Rabkin does -- those two seem to be very similar in

their practices.

~alyssa

Re: Hull: another question?!

> KC,

>

> Dr. Anthone used equal length bilopancreatic and alimentary limbs. I

> find this 50/50 split to be intuitively nice, plus the resutls as far

> as side effects seem to be better than the more common 60/40 split

> used by Hess and Rabkin. I don't really believe in the fixed limb

> length method used by Scopinaro, Gagner, Ren, Marceau etc.

> Incidentally, all fully lap surgeries use fixed lengths since proper

> measurement of the full bowel length is not possible (Rabkin uses lap

> assisted and is able to measure). Anthone uses common channel

> lengths in the 75-100cm range depending on bowel length of the

> patient and the amount of weight the patient has to loose. I think

> that this is sensible. Scopinaro used 50cm, Marceau uses 100cm. I

> tend to belive that it is better to err on the long side here since

> the side effects can be quite awful.

[Guest guest]

Alyssa,

I don't know for sure what Dr. K does, but I am inclined to agree

that he goes with the 60/40 split. Dr. Anthone is the only one I

know that does the 50/50 split except for Dr. Claire in Santa Barbara

who pulished a paper on the BPD (not DS) with a 50/50 split. Dr.

Claire's thinking seems to have influenced Dr. Anthone (just based on

reading Dr. Claire's article and listining to Dr. Anthone).

Hull

> Do you happen to know which strategy Dr. K goes with? I'm guessing

that he

> uses the 60/40 that Rabkin does -- those two seem to be very

similar in

> their practices.

>

> ~alyssa

>

> Re: Hull: another question?!

>

>

> > KC,

> >

> > Dr. Anthone used equal length bilopancreatic and alimentary

limbs. I

> > find this 50/50 split to be intuitively nice, plus the resutls as

far

> > as side effects seem to be better than the more common 60/40 split

> > used by Hess and Rabkin. I don't really believe in the fixed limb

> > length method used by Scopinaro, Gagner, Ren, Marceau etc.

> > Incidentally, all fully lap surgeries use fixed lengths since

proper

> > measurement of the full bowel length is not possible (Rabkin uses

lap

> > assisted and is able to measure). Anthone uses common channel

> > lengths in the 75-100cm range depending on bowel length of the

> > patient and the amount of weight the patient has to loose. I think

> > that this is sensible. Scopinaro used 50cm, Marceau uses 100cm.

I

> > tend to belive that it is better to err on the long side here

since

> > the side effects can be quite awful.